Increased admissions due to cardiac complications of thyrotoxicosis in Māori

Making Education Easy

Authors:

Tamatea JAU et al.

February 5, 2019

Summary:

This analysis retrospectively reviewed the data from all patients admitted with cardiac complications of thyrotoxicosis to a single New Zealand hospital between 1 January 2005 and 31 December 2012. Of 72 patients who were identified as being admitted for a cardiac complication of thyrotoxicosis, 32 were admitted because of dysrhythmia, 12 had ischaemia, 11 were in cardiac failure and 17 had mixed cardiac disease. Thyrotoxicosis was most commonly caused by Graves’ disease (n=25) and amiodarone (n=19). The cohort was over-represented by Māori (36.1% vs 16.8% of all cardiac admissions over the same period) and Māori were more likely to present with cardiac failure than non-Māori (57.7% vs 26.1%; p=0.008).

Comment:

A fantastic clinical study from a Māori physician who has recently completed her PhD. The recommendations made here should guide the assessment and management of CVD, particularly heart failure, risk.

Reference: Heart Lung Circ. 2019;28(2):284-8

Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.